Department of Health & Human Services

Centers for Medicare & Medicaid Services
Form Approved

OMB No. 0938-0391
Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number 673080 (X3) Date Survey Completed 07/18/2024
Name of Provider or Supplier Reunion Rehabilitation Hospital Plano Street Address, City, State 3600 Mapleshade Lane, Plano, TX
For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency.
(X4) ID Prefix Tag Summary Statement of Deficiencies

(Each deficiency should be preceded by full regulatory or LSC identifying information)
A0000 The CMS-2567 (Statement of Deficiencies) is an official, legal document. All information must remain unchanged except for entering the plan of correction, correction dates, and the signature space. Any discrepancy in the original deficiency citation (s) will be reported to the Dallas Regional Office (RO) for referral to the Office of the Inspector General (OIG) for possible fraud. If information is inadvertently changed by the provider/supplier, the State Survey Agency (SA) should be notified immediately. An unannounced complaint survey was conducted on site. An entrance conference was held with the hospital representatives on the morning of 7/18/2024. The representatives were informed that this investigation would be conducted according to the survey protocol in the State Operations Manual, Chapter 5, section 5100 and Appendix A, and according to 42 CFR 482 the Conditions of Participation for Hospitals. Preliminary survey findings were presented at an exit conference on the afternoon of 7/18/2024 with the representatives. They were thanked for their time and attention to the survey. The representatives were afforded an opportunity to have their questions answered and given an opportunity to provide evidence of compliance with those requirements of which non-compliance had been found. None was provided. Instructions were provided on writing plans of correction and to return the plans of correction to the Arlington zone office within 10 days. This report was electronically sent to the facility. The investigation of Complaint TX00503841 found the facility in substantial compliance with deficiencies cited.